Mental comorbidity of chronic insomnia in general practice attenders using DSM‐III‐R

Schramm, Elisabeth; Hohagen, Fritz; Käppler, Christoph; Grasshoff, U.; Berger, Thomas

doi:10.1111/j.1600-0447.1995.tb09735.x

Cited by 71 publications

(29 citation statements)

References 21 publications

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“…Furthermore, in accordance with previous studies with nonstroke patients [11, 39, 43, 44, 45, 46, 47], we found a high frequency of psychiatric comorbidity in our samples of stroke patients with insomnia complaints. About half of the insomniacs met the DSM-IV diagnostic criteria of a depressive disorder and one third that of major depression.…”

Section: Discussionsupporting

confidence: 79%

Insomnia in Ischemic Stroke Patients

Leppävuori¹,

Pohjasvaara

Vataja³

et al. 2002

Cerebrovasc Dis

211

137

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This is the first study that focuses on insomnia in stroke patients. A subgroup of 277 patients from a consecutive series of 486 stroke patients aged 55–85 years was subjected to a comprehensive psychiatric evaluation 3–4 months after ischemic stroke. Of 277 patients, 56.7% reported any insomnia complaint and 37.5% fulfilled the DSM-IV criteria of insomnia. In 38.6%, insomnia complaint/insomnia had already been present prior to the stroke and in 18.1%, it was a consequence of the stroke. Independent correlates of any insomnia complaint/insomnia were anxiety (Zung Anxiety Scale) and the use of psychotropic drug. Independent correlates of poststroke-onset insomnia complaint/insomnia were disability after stroke (Barthel Index), dementia, anxiety and use of psychotropic drug. Insomnia should be taken into consideration in treating and rehabilitating stroke patients.

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Section: Discussionsupporting

confidence: 79%

Insomnia in Ischemic Stroke Patients

Leppävuori¹,

Pohjasvaara

Vataja³

et al. 2002

Cerebrovasc Dis

211

137

View full text Add to dashboard Cite

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“…In einer ersten Studie, der sog. Mannheimer Allgemeinarztstudie, wurden 2500 Patienten in Allgemeinarztpraxen befragt [33,34,65). Dabei konnten wir zeigen, dass 20% der Patienten über eine Insomnie nach DSM-III-R-Kriterien, d. h. Ein-und Durchschlafstörungen bzw.…”

Section: ᭤ Leitlinie "Nichterholsamer Schlaf"unclassified

Nichterholsamer Schlaf und Insomnie

2003

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Over the last few years, a shift in paradigm has taken place in the diagnosis and therapy of insomnia. Traditionally, treatment focused on improving night sleep, i.e. shortening sleep latency and prolonging total sleep time. Modern approaches aim at improving or restoring the recuperative value of sleep and ensuring daytime functioning on a social, psychological and professional level. Based on the guidelines "Non-restorative Sleep" of the German Society of Sleep Research and Sleep Medicine, this article presents a clinical algorithm for the diagnosis and therapy of non-restorative sleep with predominant insomnia. The term "non-restorative sleep" permits us to view the restorative value of sleep and the resulting daytime functioning of the individual afflicted with insomnia as the focus for the diagnosis of and therapy for insomnia. This algorithm is suitable for the clinical practice of outpatient psychiatric and psychotherapeutic services as well as for psychiatric inpatients. The main features for psychiatrists and psychotherapists in the diagnosis and therapy of non-restorative sleep are underlying psychiatric-psychological factors or secondary psychiatric sequelae of chronic primary insomnias. For primary, organic and psychiatric insomnias, a broad spectrum of psychopharmacological and cognitive behavioral methods can be applied either alone or in combination.

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“…Longitudinal studies suggest that insomnia increases the risk of developing a psychiatric condition [6,40,41]; these studies also suggest that the treatment of the psychiatric condition does not necessarily resolve disturbed sleep [42,43]. Ohayon [44] examined patients with chronic pain conditions and found 3 times more frequency of insomnia symptoms and more reported daytime impairments due to sleep issues in those with chronic pain in comparison to those with just reported insomnia symptoms.…”

Section: Psychiatric and Medical Comorbiditiesmentioning

confidence: 99%

Nonpharmacological Treatment of Insomnia

Hohagen

1996

Sleep

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Insomnia is one of the most common sleep disorders, which is characterized by nocturnal symptoms of difficulties initiating and/or maintaining sleep, and by daytime symptoms that impair occupational, social, or other areas of functioning. Insomnia disorder can exist alone or in conjunction with comorbid medical and/or psychiatric conditions. The incidence of insomnia is higher in women and can increase during certain junctures of a woman's life (e.g., pregnancy, postpartum, and menopause). This article will focus on an overview of cognitive behavioral therapy for insomnia, evidence of effectiveness for this treatment when insomnia disorder is experienced alone or in parallel with a comorbidity, and a review with promising data on the use of cognitive behavioral therapy for insomnia when present during postpartum and menopause.

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Mental comorbidity of chronic insomnia in general practice attenders using DSM‐III‐R

Cited by 71 publications

References 21 publications

Insomnia in Ischemic Stroke Patients

Insomnia in Ischemic Stroke Patients

Nichterholsamer Schlaf und Insomnie

Nonpharmacological Treatment of Insomnia

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